Event Feedback Form

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Date:__________
Event Title: ________________________
Event Feedback Form
1. I liked the flow of the event or presentation? Yes/No
2. I especially liked:
3. I would like to be invited to future events? Yes/No
4. I would like to have [Your Name] speak at one of my events/clubs/meetings? Yes/No
5. I would like to schedule a ½ hour Free Discovery Session with [Your Name]: Yes/No
6. I would like [Your Name] to be add me to his/her list for upcoming events: Yes/No
7. I would like [Your Name] to come and speak [Event or Group name]: Yes/No If yes, about
which of the following subjects (please circle your choice): [List the subjects you speak about]
Your Success Formula
Unmask Your Potential
Grow Your Business and Life through
Collaboration
Get Ready to Thrive
Fall Into Balance
8. Any other comments or things you would like to share?
Name: ________________________________ Title: ______________________________
Business Name: ____________________________________
Phone: ________________________________ E-mail:______________________________

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